Is police brutality justifiable in the United States Essay

Is police brutality justifiable in the United States - Essay Example The answer to this question is more complex than initially thought. Social media do an excellent persuasive job in misconstruing public opinion based on cases of justified excessive police force and cases where the force is questionable. This delicate issue in our society at the moment is sweeping our nation and dividing Americans by ethnic groups, depending on the victimization of each case that hits the news. A wide range of allegations on police brutality in the United States tend to give rise to broad discussions in public. As usual, there are two opposite points of view on the issue which are represented in the dichotomy â€Å"reasonable force vs. police brutality†. Representatives on both the sides rely greatly on what they get from the media coverage of events and not many of them refer to official surveys which can shed light upon the problem under discussion. Before addressing the above-mentioned research, it is necessary to give a clear definition of what reasonable force means though. As it is stated in legal papers, the police have a right to use a â€Å"reasonable force†. Overall, the law states clearly in what cases one can use a reasonable force. Among such circumstances are self-defense, defense of other people or property, lawful arrest and prevention of a crime. In fact, common citizens are also allowed to use force in these situations; the standards for police officers are higher though. In any case, the use of such force appears to be reasonable under given circumstances (Fitch 234-235). In other words, one, in this case, a police officer, must believe that the force he / she (still usually he) uses is justifiable and not excessive at the same time. To see how a serving police officer assesses a situation in which he might use force, how the police are taught, an interview has been conducted. The interviewee is a serving police officer who he asked not to give his name that is why he will be referred to

Engineers related with the internal combustion engine Essay Example for Free

Engineers related with the internal combustion engine Essay Rudolf Diesel resided in Paris and was born in 1858. Munich Polytechnic was the school that enhanced his capabilities. Diesel was interested at engine design. Rudolf was recognized in engine designs; Engines like the solar powered air engine was one of his recognizable inventions. He also known to as to publish articles about an engine with combustion within a cylinder; it was soon known as the internal combustion engine. In 1894, he patented his so called diesel engine. The engine invented by Diesel was known to be the first that can ignite the fuel without spark. The first operation of the engine was in 1897 and it was said to be successful. The internal combustion engine with the diesel engine was government granted rights in 1898 (National Inventors Hall of Fame). Nikolaus Otto was a resident of Holzhausen, Germany. On June 14, 1832, Otto was born in Germny. Nikolaus Otto was a drop out in the high school and after that he work as aid for a grocery store. He became a person of hard work; he acquired many works. He works as clerk and traveling salesman in different institution. He collected data and soon find out about the gas engine that was invented by Etienne Lenoir. Unexpectedly, the Lenoir engine came to failure and then was not recognized. Lenoir engine has a troublesome ignition system. From the failure, Otto thinks about the use of liquid fuel. He soon devised a carburetor to help the work of Lenoir have developments. The two stroke engine was patented by Otto and his partner in 1861. The two-stroke invented ran on a gas. With the recognition acquired in the two stroke engine, he came up to the idea of making the four-stroke engine. It was made as substitution for steam engine (Pagewise). Jean-Joseph-Etienne Lenoir, French engineer and inventor, who came to developed the internal combustion engine. He was also known to make white enamel 1847, an electric brake and also develop an automatic telegraph. Before Lenoir work came to recognition, many other works of internal combustion were claimed by unreliable inventors. His model of combustion engine was very practical that it made them become real. The engine being developed by Lenoir was made up of cylinder with storage battery. Slide valves were provided in the two-stroke cycle and this cycle was fuelled by coal gas. Powering small items of machinery was his engine used for. He patented his internal combustion engine in 1860 that used kerosene as fuel. After two years of development, his engine makes a record of having a speed of 6. 4 km per hour (Auuuu. com. ). Impact Through the years of development and innovation of internal combustion engine, it was said to be show significance and impact to the world. Especially with industries and automobiles and cars, internal combustion engines were set to be as important in all terms. In the 1900’s, western countries were utilizing this kind of engine produce a large amount of automobiles. Internal combustion engine was adapted for use in by ever sea, land and air transportation. With sea transportation, much numbers of ships or any sea transport means used diesel engines. In this way they are providing easiness in the transportation of people as wee as goods thru and from port. Trade becomes more rapid and less expensive. Airplanes also have been thankful to the development of gasoline engine. Before the development of internal combustion engine, flights have been not good. But thru the development of these internal combustion engines, it has played an important role in private, commercial and military aviation. In farming and food production, internal combustion engine was said to be also important. Abundance of food and were seen as tractors and other farming equipments were powered by diesel engines. There is a significant improvement that was seen; there is an increase in the amount of land farmed. This means that it was not only the farm owners who will be benefiting but also the consumers. This is because the costs of farm goods will decrease. And not only that, internal combustion it is also seen to be producing much more amount of goods. On the environmental aspect, internal combustion engine was not bad for the environment. Actually, it was really significant. Internal combustion engines were being operated thru burning forms of hydrocarbons as it also discharges exhaust gases. These petroleum based hydrocarbons were to produce carbon dioxide, carbon monoxide and water also. Other impact in the environment is very great because the process of extraction of provides some invariably great results (Auuuu. com). Internal combustion Engine (Overall Aspect and Summary) The internal combustion engine a prime mover, that means it utilizes some form of energy to shift objects. In the mid of the nineteenth century, the first reliable internal combustion engines exist and were industrialized. It was also almost instantly put to use for transportation. The development and improvement of the internal combustion engine helped to people in was that it helps them to do toughest manual work. There were several engineers and inventors who supposed to give try to make the internal combustion engine. But not all had been successful for the development. Here are the names of the famous engineers and inventors that were given recognition for the development of these engines. One is Lenoir, made the first possibility of the internal engine. Otto and Diesel was also seen to be accomplished for the successful of the internal combustion engine. Another is Daimler and Maybach who gave it a try with bicycle and motorcycle. They also produced a car making it have the four-speed gearbox. Karl Benz also was known due to his production of gasoline car. There are even more inventors and engineers who have shared their ideas to develop or at least improve the internal combustion engine. The impact of internal combustion engine was really significant for the different modes of transportation and industrial countries. They were given the easiness of providing fast service to their consumers. The transport modes were speedy service. The industrial parts were to produce their products in a fast pace. At home, it was also significant because all equipments like chainsaws and the like were also powered by internal combustion engine. As well in farms, the production was made fast because of the engine that helps them farmed much amount of lands. The economic also was being benefited in term of providing carbon monoxide and dioxide and water which is essential for the everyday life. These were really signifies that the development of internal combustion engine was made for the good purpose for the human and the world. It does not only secure the impacts on the industrialized nation but also concerns with the whole community. Conclusion Internal combustion engine was only one of the essential development and innovation in the world of technology. Since great inventors are coming up with ideas that will provide good impacts on the community as well with the technology itself. The engineers and inventors are making sure that every innovative idea within the world of technology, the significant and the development must come together as these ideas were to be brought out in the community. Internal combustion engines are most generally used for movable force systems. Home, industries, transport companies and farmers are the common groups that were being benefited by these innovations of the internal combustion engines. Electric generators and industry were also utilizing these engines. These innovations had greatly affects essentially for the fast paced of works in any of these groups. Works Cited Auuuu. com. â€Å"Internal-Combustion Engine† 1 December 2007 http://www. auuuu. com/cars/22. html Bellis, Mary.â€Å"The History of Engines How Engines Work. † 30 November 2007 http://inventors. about. com/library/inventors/blinternalcombustion. htm 2007. NASA. â€Å"Internal Combustion Engine. † 30 November 2007 http://www. grc. nasa. gov/WWW/K-12/airplane/icengine. html. National Inventors Hall of Fame. â€Å"Inventor’s Profile: Rudolph Diesel. † 1 December 2007 http://www. invent. org/hall_of_fame/42. html . Pagewise. â€Å"Nikolaus August Otto: Inventor of the Internal Combustion Engine. † 1 December 2007 http://ia. essortment. com/nikolausaugust_rcoe. htm.

Summary of Vietnam War :: Vietnam War Essays

Summary of Vietnam War Ngo Vinh Long   Ã‚  Ã‚  Ã‚  Ã‚  In this reading, Long discusses the history of Vietnamese resistance to colonial and oppressive forces. Long states that American historians and statesman claim that other factors contributed to the disastrous conclusion of the Vietnam war, but that the real truth is that the American’s were not prepared to meet such a formidable foe. The Vietnamese had been resisting the Chinese for over 1,000 years and had held on; when the French arrived the same policy of resistance was practiced. Ultimately, due to the oppressive nature of the French and WWII, the French were ousted and a new communist government under Ho Chi Minh was established. Having just been under an oppressive force, and being very knowledgeable about how to deal with oppression, the American’s were caught by surprise. Ho Chi Minh   Ã‚  Ã‚  Ã‚  Ã‚  In the first set of readings, Ho Chi Minh calls upon Western powers to honor the principles of freedom they so ‘righteously’ proclaim. Speaking specifically to the French, Ho Chi Minh proclaims that the right of the Vietnamese people to be sovereign is inherent in the ideology of French ideology and he calls on them to follow through.   Ã‚  Ã‚  Ã‚  Ã‚  In the second selection of reading, Ho Chi Minh recounts his eventual conversion to Marxist/Leninist ideals. He tells of his participation and final acceptance of communist ideals.   Ã‚  Ã‚  Ã‚  Ã‚  In the final selection of reading Ho Chi Minh calls upon all the people of Vietnam to join in the fight for full independence. In this letter Minh appeals to heroes of the past who have resisted oppression and relates these heroes to the present struggle. Johnson   Ã‚  Ã‚  Ã‚  Ã‚  In this selection of reading President Johnson is defending his Vietnam policy. This address by Johnson lays out many arguments for why the war in Vietnam is necessary; they are as follows: (a) the self-determination of nations; (b) aggressive forces; (c) communism as a menace to the world; (d) idea that everything operates like dominoes; (e) avoiding another Munich; (f) responsibility of the American people; (g) a â€Å"new deal† for third-world countries; (h) a better tomorrow for the world Scheer   Ã‚  Ã‚  Ã‚  Ã‚  In this article Scheer explains why the US got involved in Vietnam. Three primary reasons were the imminent collapse of the French government, the success of the Viet Minh, and the instability of the puppet Diem regime. Duncan   Ã‚  Ã‚  Ã‚  Ã‚  In this narrative, Duncan explains through various stories why he believes the war in Vietnam simply propaganda; he concludes his narrative by saying that it took him 10 years in the military to figure out that the government was feeding him lies.

Gender Communication Differences in Traditional Marriage Essay

Men and women communicate differently. Two people of opposite gender joined in marriage have two very different styles of communication to the extent that this problem is sometimes insurmountable. Lack of clear communication between partners in a traditional marriage is often cited as the cause for divorce. What often occurs â€Å"is not a failure to communicate, but a failure to understand communication† (Akin, 2003, 1). Long before technology took over society and created more avenues for communicating with each, men were used to showing support by â€Å"doing things† for the family and women showed their affection through talking (Torrpa, 2002, 1). Women expect their marital relationship to be based on mutual dependence and cooperation while men expect it to be based on independence and competition (Torppa, 2002, 1). Clearly, these two different sets of expectations will have an effect on how the two partners communicate and ultimately, on the strength of the union. According to Ohashi (1993) marriage is a system established on the assumption of a division of labor based on gender-role stereotypes (from Katsurada, Sugihara, 2002, 2). Women traditionally tend to want to â€Å"make everyone happy† while men make decisions based largely on their own personal needs (Torrpa, 2002, 1) – one aspect of marriage that is unchanged for the most part yet responsible for many breaks in communication between the partners. Differences in characteristic gender roles also affect communication between husband and wife. Typically, women are characterized as being the more talkative of the sexes as well as being comfort providers and more secure in showing their emotions. Women are also better at â€Å"reading between the lines† regarding interpersonal issues (Torrpa, 2002, 1). Men, on the other hand, are known for their distinct lack of communication and inability to provide emotional support. Their ability to â€Å"read between the lines† regarding status is more pronounced than in women. With traditional roles in marriage declining and technology taking over, communication is at once both more effective and less available (Morris, 2001, 1) – we have more ways of communicating (e. g. text messaging, Email, etc. ) but we have less time to do so with multiple careers. Both male and female partners tend to see the other as being more controlling of the relationship (Torppa, 2002, 1) and without the ability to communicate effectively, this assumption can be quite damaging to the marriage. This research will explore the varying roles of a man and woman in a traditional marriage relationship, how these roles influence their ability to effectively communicate, and the level of satisfaction each partner feels based on their idea of whether or not they are communicating effectively with each other regarding important issues. According to Torrpa (2002, 1): â€Å"understanding differences is the key to working them out†. B. Hypothesis It is expected that marriage partners with traditional roles (i. e.the husband as breadwinner, the wife in charge f the household) will experience a greater chasm between what is being said and what is meant in that these partners will have communication styles more typical of their gender. It is hypothesized that men will have a very different style of communication than the women in each partnership. C. Participant Selection A minimum of 15 married alumni couples will be identified via public records office and sent a mailed invitation. Commitment may also be obtained via telephone. Respondents to the survey will be offered a gift card from a local merchant. D. Materials 1) Written questionnaire regarding the couple’s marriage 2) Assessment of task completion using a scale model E. Procedure In this study, the married couples will be surveyed regarding their role in the marriage. Each couple will be surveyed individually. A task will be randomly and privately assigned to one of the partners with specific instructions to verbally communicate the specifics of the task to the other partner. Communication style and effectiveness will be measured by the ability of the spouse to complete the task and a post-task survey completed by the spouse that will rank the value of the instructions given on a scale of one to 10. The spousal differences between the style of communication (i. e. non-verbal direction, logic) will be made apparent by the answers to the post-task survey. Analyzing the data with frequency tables is expected to show that the males in the group communicate using logic, while the females will rely more on non-verbal signals they expect their partner to recognize. Potential Risks to Participants There are no potential risks associated with participation in this research study. However, should participants feel the need for counseling services following the survey, they will be directed to the campus counseling center. G. Expected Benefits for Participants and Society Participants in the survey should garner a much better idea of how to communicate more effectively with each other. The hope is that through awareness of communication deficits, the married couples will be able to put this new knowledge to use when needing to communicate about larger and more important issues.

Community Levels Of Physical Activity Health And Social Care Essay

NHS Western Cheshire Primary Care Trust ( PCT ) is the administration that commissions wellness services for the population of Western Cheshire ensuring that services run into local demands. The trust leads the local NHS ( infirmaries, general practicians, tooth doctors, oculists and community staff ) and works in partnership with other administrations, such as local governments and both public and voluntary sector administrations, to better the wellness and well-being of occupants ( 3 ) . Within the PCT the Public Health Department is headed by the Director of Public Health, a joint assignment between the PCT and the local authorization. The section ‘s function within the PCT is to enable and back up the PCT and its spouses to better the wellness of the population and cut down wellness inequalities that exist in Western Cheshire. The section has a duty for wellness protection, instruction and betterment in the part, including proviso for immunization and showing services and exigency planning for epidemics, e.g. swine grippe. The section is responsible for development and bringing of wellness schemes, based upon local demands, to implement both national and regional policy. Within the section the Specialist Health Improvement Team has a duty for the commissioning and bringing of wellness instruction and betterment services, e.g. smoking surcease and weight direction, based upon national, regional and local policies, schemes and needs appraisals. For the intent of this paper Western Cheshire is assumed to hold a population of 150,000 with a mix of societal category, cultural and age groups mirroring the national norm. This paper proposes a two twelvemonth evidence-based scheme to increase degrees of exercising in the population. There are five attacks to wellness publicity ; Medical or Preventive ; Behaviour Change ; Educational ; Empowerment ; and Social Change, and, it might be said that, for wellness publicity to be genuinely effectual it should use aspects of each of these attacks ( 6 ) . Although possibly one or two attacks would look to be most suited to specific schemes or intercessions, for illustration behaviors alteration might be an appropriate attack for increasing degrees of physical activity but, in truth, will probably be doomed to failure without at least some part from most, if non all, other attacks. Therefore this scheme proposes a holistic methodological analysis, including actions embracing all five of th ese attacks.Evidence BasePhysical inaction is a important, independent hazard factor for a scope of chronic wellness conditions impacting society today ( 7 ) and there is a compelling instance for implanting the publicity of physical activity in the NHS to procure the future wellness of the state ( 8 ) . In fact it has been said that if a drug or intervention was developed that had the possible to forestall as many wellness conditions as physical activity ( see fig. 1 ) it would be proclaimed a ‘miracle remedy ‘ or ‘wonder drug ‘ ( 7 ) . But physical inaction besides has far-reaching deductions for the wider populace sector, such as societal attention. For illustration: of grownups aged over 65, 12 % are unable to walk outside on their ain, and 9 % can non pull off stepss unaided ( 2 ) Figure 1. The impact of physical activity on many chronic wellness conditions Evidence shows that an active life style: has a significant impact on the hazard of major non-communicable disease, including coronary bosom disease, high blood pressure and some malignant neoplastic diseases ( 2 ) can cut down the hazard of shot, and modify cardiovascular disease hazard factors such as high blood force per unit area and high cholesterin ( 2 ) protects against malignant neoplastic diseases of the colon, chest ( post-maturity ) and endometrium ( 5 ) reduces the hazard of and helps pull off musculo-skeletal wellness conditions, including osteoporosis and degenerative arthritis ( 2 ) reduces the hazard of depression and promotes many other positive mental wellness benefits, including cut downing anxiousness ; bettering self-pride ; and assist cut down physiological reactions to emphasize ( 2 ) has been found to be as effectual in the intervention of mental sick wellness as anti-depressant drugs and psychotherapeutics ( 9, 10 ) supports weight direction – ensuing in modest weight loss of around 0.5-1kg per month ( 2 ) by the age of 70, 25 % of adult females and 7 % of work forces have deficient leg strength to acquire out of a chair without utilizing their weaponries ( 2 ) . Physical activity is portion of the solution to back uping the publicity of independent life in older grownups, thereby cut downing the cost of societal attention. Fallss are a prima cause of inadvertent decease of older people and fractured hips, as a consequence of falls, cost the NHS and societal services ?1.8 billion each twelvemonth in England ( 11 ) . Physical activity, peculiarly preparation to better strength, balance and coordination, can be extremely effectual in cut downing the incidence of falls ( 2 ) . Regular exercising has besides been shown to protect against the oncoming of depressive symptoms and anxiousness ( 12 ) . In mid-life and older grownups, physical activity can decelerate or forestall age-related cognitive diminution, and is associated with a lower hazard of developing dementedness ( 13 ) . Despite the multiple wellness additions associated with a physically active life style, merely 40 % of grownup work forces and 28 % of big adult females meet the Chief Medical Officers ( CMO ) recommendations for wellness ( 14 ) , nevertheless, the existent challenge is that 75 % of work forces and 67 % of adult females believe that they are active plenty ( 15 ) . There is a acknowledgment across the NHS that active life styles are now an intrinsic portion of twenty-first century health care and that advancing active life styles is a simple reply to many of the wellness challenges confronting our state today ( 8 ) . The load of sick wellness from inaction is clear and the statistics farther highlight the potency for important decreases in morbidity and mortality, which could be achieved if we consistently and actively promote engagement in physical activity through the NHS ( 8 ) . Equally good as holding the potency to better the wellness of the state, advancing physical activity could besides salvage the NHS money, cut downing the load of chronic disease on the ague sector and public services ( 8 ) . Using Primary Care to advance physical activity can assist the NHS move towards lower costs, more efficient and effectual services in primary attention and cut down the demand for, and costs of, acute attention ( 7 ) . Investing in the bar docket by implanting the publicity of physical activity in NHS services has the ability to significantly cut down the fiscal load of inaction on the economic system. Allender et Al. ( 16 ) estimated that for merely five conditions, post-menopausal chest malignant neoplastic disease, lower GI malignant neoplastic disease, cerebrovascular disease, cardiovascular disease and type 2 diabetes, in one twelvemonth entirely, the load of physical inaction: caused over 35,000 deceases ; caused 3.1 % of morbidity and mortality in the UK added over ?1.8 billion to the direct wellness cost load on the NHS. For a pattern population of 10,000 the cost of these five conditions attributable to physical inaction norms ?50,000 per twelvemonth ( 17 ) . Adding indirect costs to the wider economic system, such as working yearss lost due to sickness and premature mortality, produces a entire measure associating to physical inaction that may be every bit high as ?8.3 billion every twelvemonth ( 17 ) .SchemeThe long term purpose of wellness publicity is to cut down morbidity and premature mortality ( 18 ) , to accomplish this intercessions are likely to be targeted towards whole populations or high hazard groups, with three degrees of bar ; Primary, aimed at forestalling the oncoming of disease ; Secondary, aimed at forestalling the patterned advance of disease ; and Tertiary, aimed at cut downing farther disablement or helping rehabilitation ( 18 ) . A cardinal purpose of this scheme is to aim intercessions at pre-school and school age kids, promoting them to be active in line with current recommendations. This will hold two effects ; foremost, by promoting kids to be more active, will be good in cut downing the prevalence of inaction related conditions in the hereafter ; and secondly, will assist to develop a civilization of taking regular physical activity. It has been shown that sedentary behaviors track from adolescence into maturity ( 19 ) and, although grounds is limited, it is believed that active kids are more likely to stay active into maturity ( 20 ) , besides when kids are taught appropriate wellness behaviors early, these are more likely to go accustomed and go on into maturity ( 21 ) . To accomplish this we must work closely with kids ‘s Centres, to guarantee that active drama forms a regular portion of their activities, and schools to guarantee that regular physical activity is incorporated into their course o f study, including activities which are non traditionally seen as school athleticss, which will besides promote the ‘Not Sporty ‘ kid to take part, activities such as Dance and Cheerleading, for illustration, have been shown to increase engagement in school based activity ( 22 ) . It is good that the National authorities have reviewed their support for the School Sports Partnership programme, which has done much to promote and advance activity in schools across the part, and we will go on to buttonhole, both locally and nationally, through Public Health England, for continued support for this programme and other programmes which will better entree to feature and activities within our schools. Many kids and immature people say that they would prefer to walk or rhythm to school ( 23 ) , and we will work with Local Education Authorities ( LEA ) and Local Governments to assist and back up schools to develop and advance active conveyance programs for both staff and students, including walking coachs, peculiarly for primary school students, which have been shown to be effectual in increasing degrees of physical activity in primary school kids ( 24 ) . But holding active conveyance programs is non sufficient to guarantee increased activity among staff and students, we besides need to guarantee the handiness of safe paths to schools, unafraid storage for rhythms and accoutrements etc. within schools and the support of parents to promote their kids to utilize active conveyance methods to acquire to and from school. To this terminal we will work with and buttonhole the Local Authority to guarantee that active conveyance is the easier pick for people to do and the LEA to guarantee s chools have the resources to supply secure storage installations. Persons diagnosed with many medical conditions may profit from increasing the sum of physical activity they do in order to forestall the patterned advance of their status. Working closely with GP ‘s these persons will be referred into activities which will assist forestall or cut down the patterned advance of their status. In many instances a first measure will be to supply information, particular to their status, about the principle for going more active and the hazards associated with non making so. As many of these people are likely to populate in countries of want ( 25, 26 ) the accent will be on advancing no-cost/low-cost activities, such as walking and cycling, which have been shown to be an appropriate method of advancing physical activity ( 1 ) . Walk is besides a suited activity for older people, every bit good as the physical benefits of improved or maintained musculus strength, joint mobility and proprioception, which can cut down falls in older grownups ( 2 ) , walk ing, peculiarly in a group, such as on a wellness walk, besides offers benefits which contribute to the societal and psychological wellbeing of persons ( 27 ) . We already have a web of wellness walks across the part, through the ‘Walking for Health ‘ programme and a figure of local groups presently provide a scope of cycling activities, including adaptative cycling, community rhythm drives and rhythm tuition. These activities will supply the back bone of our scheme but we need to guarantee they are accessible to people that need them. We will confer with with patient and support groups to guarantee that activities provided are activities of pick and are at a clip and topographic point where they can be accessed by the mark population. Many people with bing medical conditions require entree to specialised exercising proviso, aimed at cut downing farther disablement or helping rehabilitation ( 18 ) . We will look to use our bing exercising referral programme, working with qualified physical therapists and exercising professionals, from both the populace and private sectors, guaranting that patients are guided into suited activities and supported in their attempts to go more active. Activities will necessitate to be suited for Phase IV cardiac rehabilitation and/or rehabilitation from musculoskeletal hurt, among other conditions. Many of these activities already exist, through the public, private and voluntary sectors, and we will go on to work closely with suppliers to guarantee activities are suited for the referral programme, i.e. run by suitably qualified teachers and hazard assessed. Harmonizing to the 2006 Health Survey for England ( 14 ) one in four people said they would be far more active if they were advised to be so by a wellness professional. Therefore, based on the recommendations of NICE counsel ( 1 ) we will work closely with GP patterns to supply brief intercessions, based upon the â€Å" Lets Get Moving † ( LGM ) programme, for patients to assist promote them to be more physically active. This programme has been tried and tested in a figure of GP patterns in London and has been found to supply a cost effectual scheme for increasing population degrees of physical activity ( 4 ) . However, such work will be dependant on the suppliers of the brief intercession being able to signpost patients onto suited activities that they would wish to, or are willing to seek. The Change 4 Life web site has an activity hunt tool which is appropriate for this intent, although a elaborate function exercising will be required before manus, to guarantee as broad a s cope of local activities is included in the database and that information is current and correct. Although instruction entirely is improbable to hold a positive consequence on wellness behaviors, coupled with other attacks can take to the desired results. Evidence shows that old media runs to advance physical activity have been successful in raising consciousness and cognition, but non of increasing activity degrees ( 28, 29 ) , nevertheless, instruction is likely to play a cardinal function in the initial phases of many wellness publicity programmes ( 30 ) . Using societal selling techniques has been shown to be an effectual method of making difficult to make groups ( 31 ) , but instruction runs should be based upon positive messages, such as improved functional capacity or improved sleep forms, for illustration, instead than negative messages or panic tactics, which have been shown to be uneffective in arousing wellness behavior alteration ( 32 ) . The Change 4 Life programme is a national run, launched in 2009, which aims to assist persons and households to â€Å" eat good, travel more and unrecorded thirster † . We will seek to construct on the work that this programme has done, and continues to make, in advancing the benefits of an active life style. In add-on we will include physical activity information and the Change 4 Life activity hunt tool on the PCT web site and will promote our spouses, local authorization every bit good as other public, private and voluntary sector suppliers to make the same. Many administrations, such as the British Heart Foundation and Cancer UK, for illustration, bring forth a broad scope of literature on the benefits of physical activity in relation to specific wellness conditions and there is no purpose to re-invent the wheel. We do, nevertheless need to do certain that this information is made more widely available. We will therefore work closely with the local authorization libraries service, GP ‘s, tooth doctors, pharmaceuticss and supermarkets etc. to guarantee that these stuffs are available in the topographic points that people attend. We will besides set up a figure of awareness raising events across the part, supplying information and advice for the populace. These events will be specifically targeted in countries of greatest demand, i.e. countries of high want or countries where there is grounds of low consumption of physical activity, and will be held in topographic points where people congregate, i.e. supermarkets, station office, ca fe or public house for illustration. We will besides transport out media runs in partnership with local suppliers to advance specific activities at times of increased national involvement, associating into the 2012 Olympic Legacy programme, for illustration, or to bind in with other promotional events and national runs, such as National Walk 4 Life Day or National Older Person ‘s Day. Although there is limited grounds of wellness benefits of community engagement, it is suggested that persons have a better opportunity of accomplishing their ends if they participate with other people who are affected by, or portion, the same, or similar, fortunes ( 33 ) . There is good grounds to demo that authorization has the possible to bring forth improved wellness impacts, peculiarly when aiming specific community groups, such as adult females and people from deprived communities ( 34 ) . At the bosom of authorization is the construct that people can be equipped with the cognition, assurance and accomplishments to do a difference in their communities ( 35 ) . Involving members of the populace in back uping others within their ain communities to do positive wellness alterations in their lives is based on a sound apprehension of the value of life experience and community support systems that can be within vicinities ( 36, 37 ) . We will enroll people from different strands of the community and specific mark groups to go community Healthy Activity Champions. These persons will have preparation, support and counsel enabling them to transport out voluntary activities in their ain communities. However, engagement in physical activity within communities, particularly those in disadvantaged countries, is likely to be mostly dependent on the handiness and propinquity of installations and safe environments ( 38 ) . Having easy entree to safe community countries, such as resort areas or playing Fieldss, and doing local vicinities safe for out-of-door activity has a major consequence on bettering activity wonts, peculiarly among deprived populations, who by and large report lower degrees of physical activity ( 38 ) . Therefore we will work with bing community groups, particularly those in disadvantaged countries, to assist them convey about the alterations they want to see in their communities, assisting to pull support for local undertakings etc. In this we will wor k as a facilitator, non taking but back uping the community, supplying counsel and advice, as needed or requested, to enable them to accomplish their ain results, instead than those placed upon them by outside bureaus. Although, over recent old ages, there have been several authorities policies, schemes and studies either entirely aimed at, or at least integrating physical activity counsel and policy to some grade ( 7, 8, 17 ) , even the latest public wellness white paper ( 39 ) includes mention to the consequence physical activity can hold on the wellness of the state. We will go on to buttonhole, both locally, regionally and nationally, through the new Public Health England construction, for a wider consideration of physical activity in all authorities policies and schemes. We see a peculiar accent of this attack in buttonholing local authorities around the cardinal countries of local conveyance policy, to do active conveyance the easier pick, for both wellness and environmental sustainability. We will work closely with be aftering sections to guarantee that new developments incorporate programs to include safe countries for out-of-door activities and to travel off from the â€Å" No Ball Games † civilization that has developed in this state towards a civilization where we promote and encourage regular activity for all people, from cradle to sculpt.CostingFigure 2. Premises made in the preparation of declarative costing. Based on the NICE counsel ( 1 ) and the LGM feasibleness survey ( 4 ) , the undermentioned premises underlie this declarative costing. aˆ? Workforce cost premises: PCT Staff – ?25 per hr. ( Assume 20 proceedingss per patient ) aˆ? Training ; 6 PCT Staff for 3 hours ( module 1 ) – ?450.00 commissioning external preparation to present Module 2 preparation to 6 ( soap. 12 ) PCT staff – approx. ?2,500 ongoing pattern support – approx. ?200 per GP Practice per twelvemonth. aˆ? Premises ; Appraisal and brief intercession takes 15 to 20 proceedingss. Support activity following brief intercession and follow-up costs, ?5 per patient project intercession. The mean QALY gained per referral is 0.17 ( 1 ) ; ensuing from approx. 6 % of patients referred for interview accomplishing an addition in the figure of moderate activity Sessionss. Much of the work outlined by this scheme is already taking topographic point, although more attempt is needed to guarantee the success of this scheme. They key cost involved with this scheme will be for the puting up of the LGM programme and the rating procedure and declarative costs for this are given here. Areas where the PCT can anticipate to incur direct costs for puting up LGM are detailed in the programme commissioning usher ( 8 ) . Although, at this phase, elaborate costing has non been carried out for this programme, the Department of Health has provided an analysis of declarative costs ( 8 ) . However it should be noted that this economic analysis is intended to be declarative merely and will change harmonizing to the bringing methodological analysis chosen and the figure and features of the pati ents targeted ( see fig. 2 for premises made ) .Indicative set up costsCost of staff preparation: ?3,000 Selling and Promotion: ?1,000 Staff costs involved with execution: ?5,000Entire estimated set up costs: ?9,000Indicative operating costs ( based upon 500 patients per pattern per twelvemonth ) Practice staff enrolling patients, finishing GPPAQ and mentioning for brief intercession ( Assuming ?5 per patient ) ?2,500 Brief intercession carried out by PCT staff ( Assuming 20 infinitesimal audience and ?25 per hr staff cost ) ?4,167Assuming 80 % of patients undertake the intercession ( 400 patients )Cost of support activity following brief intercession and followup ( based on ?5.00 per patient ) ?2,000Entire cost per pattern for 1 twelvemonth ?8667On this footing, with 15 patterns, each averaging 10,000 patients, covering the PCT country the entire jutting one-year costs are: – Year one ( including set-up costs ) ?139,005 Year two ( including 5 % cost addition ) ?136,505Entire cost for two old ages ?275,510The cost of rating for this scheme has yet to be finalised, nevertheless counsel suggests that around 10 % of the programme cost should be allocated to the rating procedure. Therefore leting between ?25,000 and ?30,000 would be appropriate for this scheme, giving a entire programme cost of around ?300,000. Based on NICE counsel ( 1 ) the estimated cost per QALY saved is ?295, good below the suggested threshold of ?30,000 per QALY ( 8 ) .EvaluationMeasuring wellness publicity is non straightforward because it normally involves changing activities, long term aims and several spouses ( 18 ) . Health publicity argues for a holistic appraising attack, embracing qualitative research methodological analysiss, taking history of the changing contextual characteristics of many programmes ( 18 ) . The RE-AIM ( range, effectivity, acceptance, execution, care ) model ( 40 ) was developed to heighten the impact of wellness publicity intercessions by measuring the dimensions considered most relevant to real-world execution, such as the capacity to make underserved populations and to be adopted within diverse scenes ( 41 ) . The theoretical account was intended to steer planning and rating of evidence-based intercessions ( 42, 43 ) that address the different degrees of the socio-ecological theoretical account, such as those that target single wellness behavior alteration by increasing intrapersonal, organizational, and community resource support ( 44 ) ( see figure 3 for typical research inquiries ) . It has been used to measure a scope of wellness behavior alteration programmes, including physical activity, dietetic behavior, and smoke ( 45-47 ) . It is hence believed that this will be an ideal rating model for this scheme. Figure 3. RE-AIM Dimensions and Template Questions for Evaluating Health Education and Health Behaviour ResearchRE-AIM DimensionQuestionsRange( Individual Level )What per centum of potentially eligible participants a ) were excluded, B ) took portion and degree Celsius ) how representative were they?Efficacy or Effectiveness( Individual Level )What impact did the intercession have on a ) all participants who began the plan ; b ) on procedure intermediate and primary results ; and c ) on both positive and negative ( unintended ) , outcomes including quality of life?Adoption( Puting Level )What per centum of scenes and intercession agents within these scenes ( e.g. , schools/educators, medical offices/physicians ) a ) were excluded, B ) participated and degree Celsiuss ) how representative were they?Execution( Setting/agent Level )To what extent were the assorted intercession constituents delivered as intended ( in the protocol ) , particularly when conducted by different ( non-researc h ) staff members in applied scenes?Care( Individual Level )What were the long-run effects ( lower limit of 6-12 months following intercession ) ? B ) What was the abrasion rate ; were drop-outs representative ; and how did abrasion impact decisions about effectivity?Care( Puting Level )a ) To what extent were different intercession constituents continued or institutionalised? B ) How was the original plan modified? Beginning: www.re-aim.org It is import that rating of programmes, such as this, is built in from the beginning so that all involved know and acknowledge the end products and results that they are working toward ( 43 ) . We are presently working closely with local academic establishments to develop this rating procedure based upon the RE-AIM model.DecisionIt is widely accepted that physical inaction is a major subscriber to the load of ill-health that we face nationally today and that advancing and promoting an active life style is a simple, yet effectual, manner of cut downing this load for future coevalss. A behaviour alteration attack is likely to be most appropriate to increase population degrees of physical activity, and hence this is the chief attack used in this scheme. However, it must be recognised that a one size fits all scheme is improbable to be successful, hence, we have proposed a holistic attack to advancing active life styles. It should besides be recognised that many of the wellness results from schemes such as this are long term and are non likely to be realised within the life-time of the scheme. Therefore a robust rating model must be employed from the beginning so that advancement can be measured against programme end products, which grounds has shown to be effectual in accomplishing the anticipate wellness results. The RE-AIM model has been successfully used in assorted scenes, against a scope of behaviour alteration enterprises, including physical activity, hence it is ideal to be used for this scheme. Although this scheme is aimed at bettering the wellness of the population of Western Cheshire through increased activity degrees, if it is to be successful it will necessitate a conjunct attempt from the whole Public Health Department, from the Director of Public Health down, to guarantee that the scheme is accepted by all spouse administrations, both locally and nationally, peculiarly local and national authorities, to guarantee that physical activity is embedded in all policy, non merely regarded as a wellness or sport/community issue.Part 2.Behaviour ChangeThe behavior alteration attack is popular in wellness publicity because it places wellness as the belongings of the person and assumes that people can do existent betterments to their wellness by taking to do appropriate life styles alterations ( 18 ) . Although behaviour alteration programmes tend to be an expert led, exceed down attack ( 18 ) , this scheme proposes a client led, bottom up attack. The programme is based on the healthcare professional supplying a brief intercession with persons, identified as person who would profit from increased activity. The procedure of behavior alteration is simply facilitated by the healthcare professional, through the proviso of appropriate information and advice particular to the person in the initial phase of the procedure. Then steering and back uping them, utilizing motivational interviewing techniques, instead than taking, through the behaviour alteration procedure. Critical to the bringing of these brief intercessions is the manner they are implemented. Nice counsel on behavior alteration intercessions delivered to persons recommends that practicians select intercessions that will actuate and back up patients to believe about the effects of their current behavior, see the positive effects of altering and program for alteration in little stairss ( 48 ) . NICE Public Health Guidance ( 1 ) recommends ; â€Å" Primary attention practicians should take the chance, whenever possible, to place inactive grownups and rede them to take for 30 proceedingss of moderate activity on 5 yearss of the hebdomad ( or more ) . They should utilize their opinion to find when this would be inappropriate ( for illustration, because of medical conditions or personal fortunes ) . They should utilize a validated tool, such as the Department of Health ‘s general practician physical activity questionnaire ( GPPAQ ) , to place inactive persons. When supplying physical activity advice, primary attention practicians should take into history the person ‘s demands, penchants and fortunes. They should hold ends with them. They should besides supply written information about the benefits of activity and the local chances to be active. They should follow them up at appropriate intervals over a 3 to 6 month period. † Brief intercessions have become the intercession of pick for many wellness publicity runs ( 18 ) and are by and large based upon the transtheoretical, or phases of alteration, theoretical account of behavioral alteration and, on occasion, the theory of self-government ( 49 ) . The transtheoretical theoretical account was foremost proposed by Prochaska and DiClemente in 1982 ( 50 ) , taking history of concepts from several theories from the field of psychological science, such as the theory of reasoned action ( 51 ) , and theory of planned behavior ( 52 ) . Sniehotta suggests that while these theories advanced apprehension of motive with respect to behaviour alteration they made small part to the scientific discipline of behavior alteration because they did non include a agencies for altering behavior or did non account for non-motivational behavior alteration techniques ( 53 ) . The construct of phases of alteration emerged during research into the procedures that persons use to alte r their troubled behavior ( 50 ) but the theoretical account has since been successfully used for many wellness behaviors change intercessions, including smoke ( 54, 55 ) , intoxicant ( 56, 57 ) , dietetic ( 58 ) , every bit good as physical activity ( 49 ) . A recent reappraisal indicated that motivational interviewing, based upon a ‘stages of alteration ‘ theoretical account, efficaciously helps clients to positively alter their behavior and exceeded results of advice merely intercessions in 80 % of the surveies included in the reappraisal ( 59 ) . The writers of the reappraisal farther suggest that, although some alterations may non be clinically important, it was of import to maintain in head that the procedure is based upon doing the patients cognizant of the potency for behavior alteration ensuing in improved wellness results and that the little alterations made within the period of survey may besides be of long term involvement if they mark the beginning of a long term procedure of alteration for the person ( 59 ) . The Lets Get Moving attack is a behaviour alteration intercession that has been designed to supply a systematic attack to placing and back uping grownups who are non run intoing the current recommendations for physical activity to go more active ( 8 ) . The attack is based upon NICE Public Health Guidance ( 1 ) , which endorses the usage of brief intercessions for physical activity publicity in primary attention as being both clinically and be effectual in the long term. The programme draws upon motivational questioning techniques to foreground the wellness benefits of physical activity, working through cardinal behaviors alteration phases and reasoning with a clear physical activity end, which is set by the person, and the designation of suited local chances to be active, including exercising referral, if appropriate ( 8 ) . Motivational interviewing is a patient centred attack, which fits in with the current authorities mantra â€Å" No determination about me, without me † . The procedure aims to arouse and beef up an persons intrinsic motive to alter lifestyle behaviors ( 8 ) and has been used by a assortment of health care professionals, across a scope of primary attention scenes, to present improved wellness results ( 60 ) . The active constituents of motivational interviewing are increasing preparedness to alter, utilizing empathetic listening techniques, increasing self-efficacy and increasing the sensed disagreement between existent and ideal behavior ( 61 ) . A recent reappraisal has shown that motivational interviewing in primary attention can hold a positive consequence on a scope of wellness behaviors, including diet and physical activity ( 62 ) . The construct of motivational questioning evolved from the experience of handling alcohol addiction, and was foremost described by Miller in 1983 ( 63 ) . This basic experience was developed into a coherent theory, and a elaborate description of the clinical process was provided by Miller and Rollnick ( 64 ) , who defined motivational interviewing as a ‘directive, client centred counselling manner for arousing behaviour alteration by assisting clients to research and decide ambivalency ‘ . The schemes of motivational interviewing are more persuasive than coercive, more supportive than argumentative, and the overall end is to increase the client ‘s intrinsic motive so that alteration arises from within instead than being imposed from without ( 65 ) . The motivational interviewing manner is a collaborative method utilizing distinguishable rules and techniques, while utilizing client centred techniques to construct trust and cut down opposition, the supplier focuses di rectively on increasing preparedness for alteration ( 61 ) . Reappraisals of physical activity intercessions have identified the scene of general pattern as a potentially effectual scene for population degree of physical activity publicity schemes ( 66, 67 ) . A written prescription is a familiar manner for patients to have advice from their GP, normally in the signifier of medicine ( 68 ) , and research has shown that supplying patients with a written prescription to take more exercising has been effectual, at least in the short term ( 6 to 10 hebdomads ) ( 69-71 ) . However grounds suggests that long term attachment to exert programmes may necessitate multiple contacts with the wellness professional and that GP ‘s, in peculiar, have expressed concern about deficiency of clip, assurance or skill to present separately tailored exercising advice ( 68 ) . It is suggested that one manner of get the better ofing these barriers is for other allied wellness professionals to supply the brief intercession following designation of suited campaign ers by the GP or pattern nurse ( 66, 69, 72 ) utilizing a validated tool, such as GPPAQ, to measure current activity degrees ( 1 ) . This is the attack proposed in this scheme, using allied wellness workers, such as wellness trainers, for illustration, appropriately trained to present the initial brief intercession and motivational interview audiences, following on from the referral by the healthcare professional, either at the GP pattern or in a separate location. Promoting physical activity in primary attention is recognised as an of import and potentially effectual attack for increasing population degrees of physical activity ( 1, 73, 74 ) . With assorted attacks being tried over recent old ages, including giving advice or guidance ( 75, 76 ) , supplying written resources ( advice brochures etc. ) ( 71 ) and exercise referral programmes ( 1, 77 ) . There is an increasing sum of grounds for the impact of wellness professionals promoting physical activity within primary attention ( 78 ) . A recent Australian survey suggests that merely three to five proceedingss of brief advice from a General Practitioner, supported with appropriate written stuffs, could take to an addition in the proportion of patients run intoing recommended degrees of physical activity 24 hebdomads after the intercession ( 68 ) . Similarly a survey on the effects of three brief intercession and reding attacks conducted by pattern nurses on patients with hazard factors assoc iating to cardiovascular disease besides showed a important addition in reported activity degrees four months after the intercession ( 75 ) . In 2009 the Department for Health launched the ‘Be Active, Be Healthy ‘ policy which proposed the phased airing of the ‘Lets Get Traveling ‘ programme, and the new authorities public wellness white paper ( 39 ) endorses the programme within the new public wellness construction.DecisionBehaviour alteration intercessions are by and large seen as one of the most appropriate attack to increasing population degrees of physical activity and, among these, brief intercessions appear to be a popular pick among wellness publicity staff. Evidence suggests that the add-on of motivational interview techniques to the intercession has served to increase the effectivity of these intercessions in a assortment of wellness publicity scenes. The usage of the ‘Lets Get Traveling ‘ protocol for increasing activity degrees has bee n tried and tested and found to be both clinically and be effectual in a primary attention scene and is hence seen to be an appropriate attack to utilize for this scheme. This attack was endorsed by the old Labour authorities and this support has been re-iterated by the current Lib Dem/Conservative alliance authorities in the latest public wellness white paper and back uping paperss.

Captain Nemos Thirst for Revenge Essays

Captain Nemos Thirst for Revenge Essays Captain Nemos Thirst for Revenge Essay Captain Nemos Thirst for Revenge Essay Twenty Thousand Leagues Under the Sea, written by Jules Verne, is one the most interesting books that I have read. It is full of adventures and great ideas. Author Jules Verne created the high powerful submarine vessel for Captain Nemo. Instead of using the submarine for the better good, Captain Nemo used it to attack what he considered to be threats to him. The story is about one mans hatred for everything that he considers evil in this world. Captain Nemo goes out of his way to build a war machine of which he has control and uses it to combat anything that gets in his way. Captain Nemo, who is full of hatred, goes to one extreme and is pessimistic toward the oppressors. The story begins in 1866, however, the setting really starts during the summer of 1867 on the vessel Nautilus. The submarine travels throughout the worlds ocean including the Pacific, Indian, Atlantic, Arctic and Antarctic Oceans, and the Mediterranean and Red Seas. Aronnax, Conseil, and Ned Land, also referred to as the trio, and Captain Nemo are the main characters in the book. Professor Pierre Aronnax is a scientist of marine biology who was invited onto the Abraham Lincoln warship to help search for and capture the mysterious sea creature. Professor Aronnax brought along his assistant Conseil whose job is to classify marine animals. Ned Land is the professional harpooner from Canada. Later on the trio meets Captain Nemo who is a rich and powerful madman that built a powerful vessel that cruises the deep ocean. One of the major conflicts of the story is Captain Nemos battles with the forces of nature that gets in his way. Captain Nemo faced giant squids, hungry cannibals, huge blocks of ice, violent whales, and scary whirlpools. Captain Nemo will stop and kill anything that gets in his way. After the trio was faced with the possibility of drowning, they meet Captain Nemo and later realize that he is no ordinary sea captain. They soon find out he is a craz

Spices Kill Some Bacteria and Have Other Benefits

Spices Kill Some Bacteria and Have Other Benefits In the hopes of finding ways to control pathogens in food, researchers have discovered that spices kill bacteria. Several studies have indicated that common spices, such as garlic, clove, and cinnamon, may be particularly effective against certain strains of E. coli bacteria. Spices Kill Bacteria In a Kansas State University study, scientists tested more than 23 spices in three scenarios: an artificial laboratory medium,  uncooked hamburger meat, and uncooked salami. Initial results indicated that clove had the highest inhibitory effect on the E. coli in the hamburger while garlic had the highest inhibitory effect in the laboratory medium. But what about taste? Scientists admitted that finding the right mix between the taste of the food and the amounts of spices necessary to inhibit the pathogens was problematic. The amounts of the spices used ranged from a low of one percent to a high of ten percent. Researchers hope to further study these interactions and perhaps develop recommendations for spice  levels both for manufacturers and consumers. Scientists also cautioned that the use of spices is not a substitute for the proper handling of food. While the spices used were able to greatly curtail the amounts of E. coli in the meat products, they did not eliminate the pathogen entirely, thus the necessity of proper cooking methods. Meats should be cooked to approximately 160 degrees Fahrenheit and until the juices run clear. Counters and other items that come in contact with uncooked meat should be thoroughly washed, preferably with soap, hot water, and a light bleach solution. Cinnamon Kills Bacteria Cinnamon is such a flavorful and seemingly innocuous spice. Who would ever think that it could be deadly? Researchers at Kansas State University have also discovered that cinnamon kills Escherichia coli O157:H7 bacteria. In the studies, apple juice samples were tainted with approximately one million E. coli O157:H7 bacteria. About a teaspoon of cinnamon was added and the concoction was left to stand for three days. When researchers tested the juice samples it was discovered that 99.5 percent of the bacteria had been destroyed. It was also discovered that if common preservatives such as sodium benzoate or potassium sorbate were added to the mixture, the levels of remaining bacteria were almost undetectable. Researchers believe that these studies demonstrate that cinnamon can be effectively used to control bacteria in unpasteurized juices and may one day replace preservatives in foods. They are hopeful that cinnamon may be as effective in controlling other pathogens that cause food-borne illness such as Salmonella and Campylobacter. Previous studies have shown that cinnamon can also control microbes in meat. It is most effective, however, against pathogens in liquids. In liquids, the pathogens cannot be absorbed by fats (as they are in meat) and thus are easier to destroy. Currently, the best way to protect against E. coli infection is to take preventative measures. This includes avoiding both unpasteurized juices and milk, cooking raw meats to an internal temperature of 160 degrees Fahrenheit, and washing your hands after handling raw meat. Spices and Other Health Benefits Adding certain spices to your food can also have positive metabolic benefits. Spices such as rosemary, oregano, cinnamon, turmeric, black pepper, cloves, garlic powder, and paprika increase antioxidant activity in the blood and decrease insulin response. In addition, Penn State researchers found that adding these types of spices to meals high in fat decreases triglyceride response by about 30 percent. High triglyceride levels are associated with heart disease. In the study, the researchers compared the effects of eating high-fat foods with spices added to that of high-fat foods without spices. The group that consumed the spicy food had lower insulin and triglyceride responses to their meal. Along with the positive health benefits of consuming the meals with spices, the participants reported no negative gastrointestinal problems. The researchers contend that antioxidant spices like the ones in the study could be used to reduce oxidative stress. Oxidative stress has been linked to the development of chronic disease such as arthritis, heart disease, and diabetes. For additional information, see: Cinnamon Is Lethal Weapon Against E. Coli O157:H7Antioxidant Spices Reduce Negative Effects of High-Fat Meal

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Meaning Behind the Phrase to Cross the Rubicon To cross the Rubicon is a metaphor which means to take an irrevocable step that commits one to a specific course. When Julius Caesar was about to cross the tiny Rubicon River in 49 B.C.E., he quoted from a play by Menander to say anerriphtho kybos! or let the die be cast in Greek. But what kind of die was Caesar casting and what decision was he making? Before the Roman Empire Before Rome was an Empire, it was a Republic. Julius Caesar was a general of an army of the Republic, based in the north of what is now Northern Italy. He expanded the borders of the Republic into modern France, Spain, and Britain, making him a popular leader. His popularity, however, led to tensions with other powerful Roman leaders. Having successfully led his troops in the north, Julius Caesar became governor of Gaul, part of modern-day France. But his ambitions were not satisfied. He wanted to enter Rome itself at the head of an army. Such as act was forbidden by law. At the Rubicon When Julius Caesar led his troops from Gaul in January of 49 B.C.E., he paused on the northern end of a bridge. As he stood, he debated whether or not to cross the  Rubicon, a river separating  Cisalpine Gaul- the piece of land where Italy joins the mainland and at the time inhabited by Celts- from the Italian peninsula.  When he was making this decision, Caesar was contemplating committing a heinous crime. If Caesar brought his troops from Gaul into Italy, he would be violating his role as a provincial authority and would essentially be declaring himself an enemy of the state and the Senate, fomenting civil war. But if he  didnt  bring his troops into Italy, Caesar would be forced to relinquish his command and likely be forced into exile, giving up his military glory and ending his political future. Caesar definitely debated for a while about what to do. He realized how important his decision was, especially since Rome had already undergone a ​civil dispute  a few decades earlier. According to Suetonius, Caesar quipped, Even yet we may drawback, but once cross yon little bridge, and the whole issue is with the sword.  Plutarch reports that he spent time with his friends estimating the great evils of all mankind which would follow their passage of the river and the wide fame of it which they would leave to posterity.   The Die Is Cast The Roman historian Plutarch reported that at this critical moment of decision Caesar declared in Greek and in a loud voice, let the die be cast! and then led his troops across the river. Plutarch renders the phrase in Latin, of course, as alea iacta est or iacta alea est. A die is simply one of a pair of dice. Even in Roman times, gambling games with dice were popular. Just as it is today, once youve cast (or thrown) the dice, your fate is decided. Even before the dice land, your future has been foretold. Let the die be cast itself is an expression meaning roughly let the game begin, and it comes from a play called Arrhephoros (the Flute Girl), a comedy written by the Greek playwright Menander in the 4th century B.C.E. Menander was one of Caesars favorite dramatists.   When Julius Caesar crossed the Rubicon, he started a five-year Roman civil war. At the wars end, Julius Caesar was declared dictator for life. As dictator, Caesar presided over the end of the Roman Republic and the start of the Roman Empire. Upon Julius Caesars death, his adopted son Augustus became Romes first emperor. The Roman Empire started in 31 B.C.E. and lasted until 476 C.E. Therefore, by crossing the Rubicon into Gaul and starting the war, Caesar threw the dice, not only sealing his own political future but effectively ending the Roman Republic and beginning the Roman Empire.

Hire With your Head Essay Example | Topics and Well Written Essays - 2000 words

Hire With your Head - Essay Example Additionally, there are also legal costs and ethical considerations any organization might face due to a poor hiring process. It, therefore, is imperative to make the process as perfect as possible through asking the right question, testing the correct skills and ascertaining the best qualifications. In ordinary situations, finding good people that match expectations prove difficult. As a result, most organizations stumble to the ground despite having qualified individuals (Alder 178). All these problems point back to the hiring process, which might be expensive with regards to opportunity and money. In this light, the paper takes a deep insight at chapter 6 of Lou Alder’s book Hire with your head. †¢ Evidently, Lou Alder is a senior corporate executive experienced in finding, evaluating, hiring and assimilating new employees into the work environment. Through his book Hire with your head, a systematic approach prevails for discovering and bringing on board new employees of exceptional skills and productivity. Notably, the hiring process is complicated by Alders book simplifies the continuous process. †¢ Interviewers often mistake the first candidates and approve them for the strategic positions. In essence, Alder regards, these simple mistakes as serious hiring problems that retain the wrong candidates while the right candidates face expulsion. The first interview is an avenue for collecting information and not a decision-making platform. Any interview that induces choice of options at the first stage stagnates or change the hiring process.

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Developing a Health Services Plan - Essay Example The development of the Aged Care Service plan includes a primary focus on the span of area to be serviced in order to identify the amount of workforce, population demographics, finances and model of care which will be adapted. The health care services are formulated on the variable of health; according to Australian Institute of Health and Welfare (2008, p.18), health is an ever changing factor and it keeps evolving. A health care plan is particularly designed to safeguard, develop, promote and maintain the well being and health of the respective citizens (NSW Health Development, 2006, p.5). The aged care services plan will focus on catering to the apparent and underlying needs of the senior citizens of Cook. The principle behind would be an adaptable and flexible system, as Jonas, Goldsteen, & Goldsteen (2007, p.8) are of the view that a system’s management must include functions of administration, planning, regulation and evaluation. According to United States Department of Labor (2010), the nature of health care system is expected to be such that it combines medical technology and human touch with diagnoses, treatments, thus responding to the health care needs of the general population. The development plan for the services includes proper identification of the necessary inputs like equipments, workforce, and staff and drugs etc. because as World Health Organization (2011) puts it, service provisions explain the way inputs are combined to allow delivery of health interventions. Planning and Development Principals: The Aged Care Service Plan will be formed following few principals. The principal approach will reduce the interventions, clarify the direction of the strategic planning, provide ease of control and allow a quality implementation of the system and as expressed by Wetmore (2000, n.d.), it increases productivity. The principals have been chalked out below: Focus should be on identifying the most appropriate model of service by Border Regions f or current and future needs of Cook’s senior community. The Aged Care Service plan should be an integration of the Health Care system as a whole, with goals aligned with that of entire Border Regions system. The senior citizens should be allowed and supported to live independently as and when appropriate for their well being. The Planning Process: The Aged Care Unit of the Border Region Health Services System will be developed through the following calculated stages: 1. Formulating a work committee. 2. Identification of the inputs (resources and raw materials) 3. Identification and integration of the goals with the system requirements 4. Implementation of the processes and activities to deliver those requirements 5. Analysis of the output and implementation of the managerial control function on continual basis. 1. Formulating a work committee: The work committee for Aged Care Services Planning shall consist of three sub teams namely: The Strategic Team: This team shall be res ponsible for setting direction and goals for the action plans. A strategic team is responsible for setting up governing principals and operations of all Aged Care services in the area (Presbyterian Aged Care, 2008). The team will preferably include qualified practitioners from Border Region’s pre existing units like the emergency services, outreach services and allied health care. The team will define and create the essentials of the plan in the form of a

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The validity of class conflict, feminism, diversity and inequality in Essay

The validity of class conflict, feminism, diversity and inequality in the context of organization theory - Essay Example Reform is more thoroughly implemented through legislative change and mandate at the state or national level. Organization theory charts a multi-disciplinary approach to the structure of business institutions, alternatively relating psychological studies, anthropology, sociology, and systems theory to methodology and research drawn from other social sciences in order to de-construct business organizations and understand them thoroughly. In a sense, organizational theory does reflect multiculturalism in its multi-disciplinary inquiry, but feminists and other civil rights activists have had a much stronger ability to effect business practices by targeting social legislation and the education system as places to implement political change. In many ways organization theory and the evolution of multicultural awareness within it in the 20th century as related to feminism, diversity movements, and civil rights must be seen in context with the Marxist movement, with which it competes in many ways historically.

Breast Cancer Research Paper Example | Topics and Well Written Essays - 1250 words

Breast Cancer - Research Paper Example Other areas of the breast can also be affected, however, this is rare. Treatment will also vary considering the type of breast cancer and the stage it is in. One can find out if they are a victim to this disease by getting an examination by a physician, a biopsy, a mammography or an ultrasound test. Rates of breast cancer have risen over the years, however there are many women who also fight this disease and survive in America. Men can also suffer from this disease. (society, 2000) Causes of breast cancer The exact factor that causes breast cancer is yet to be pinpointed. Certain factors increase the probability of the cancer’s occurrence. Some can be controlled and modified in order to avoid the onset of the disease; whereas other factors cannot be controlled. There are some main reasons as to why it occurs; Family tree: having family members, especially closely related women in the family such as an aunt, a sister etc. who have breast cancer greatly increases the chances of developing breast cancer. Age: as a person grows older, the chances of breast cancer also increase. Life history: having cancer in one breast increases the likelihood of having cancer in the other breast in the future, or other different types of cancers in the same breast. Menstrual cycle: women with a cycle that started before twelve or ended before fifty five are more susceptible to this disease. Race: black women tend to have stronger potential to avoid the tumor than white women Breast tissue: women with a denser breast tissue as compared to others have a higher probability of developing breast cancer. Giving Birth: having no children or having children at a very late age can also increase the probability of breast cancer occurrence. Studies show that a breastfeeding mother for one or two years has a lesser probability of developing breast cancer. Weight: obese people have a greater probability of suffering from breast cancer than women who have an average body weight. Use of c ontraceptives: The use of oral contraceptives for about ten years or so increases the probability of breast cancer occurrence. Exercise: Exercise has been shown to lower the probability of breast cancer. Alcohol consumption: The rate of consumption of alcohol and the probability of developing breast cancer are directly proportional These are the risk factors that are associated in the development of cancer of the breast in women. Aspects such as age cannot be controlled, as one cannot stop aging, however other factors such as exercise, weight and alcohol consumption etc. can be controlled. (Majure, 2000) Signs, symptoms and diagnosis One of the most common symptoms of breast cancer is a mass or lump in the breast. Other symptoms include dimpling or swelling of the breast, nipple or breast pain, or discharge from the breast or redness. A healthcare provider can confirm whether these signs or symptoms point towards breast cancer. Mammograms are usually used to detect breast cancers. A nd women should at least at the age of forty get regular screen shots in order to prevent the disease or catch it at its earlier stages. A clinical breast exam, CBE, should also be conducted in women in their twenties or thirties in order to be aware of the changes that the breasts are undergoing as well as the early onset of the disease or possibility of the disease. A self-exam of the breast can also be done called a breast self-exam (BSE) by women especially those in their early

The validity of class conflict, feminism, diversity and inequality in Essay

The validity of class conflict, feminism, diversity and inequality in the context of organization theory - Essay Example Reform is more thoroughly implemented through legislative change and mandate at the state or national level. Organization theory charts a multi-disciplinary approach to the structure of business institutions, alternatively relating psychological studies, anthropology, sociology, and systems theory to methodology and research drawn from other social sciences in order to de-construct business organizations and understand them thoroughly. In a sense, organizational theory does reflect multiculturalism in its multi-disciplinary inquiry, but feminists and other civil rights activists have had a much stronger ability to effect business practices by targeting social legislation and the education system as places to implement political change. In many ways organization theory and the evolution of multicultural awareness within it in the 20th century as related to feminism, diversity movements, and civil rights must be seen in context with the Marxist movement, with which it competes in many ways historically.

INMATE Essay Example | Topics and Well Written Essays - 250 words

INMATE - Essay Example nto consideration the situation through which John is undergoing, it will be important not only to himself, but also to his family to be transferred to a medium security correctional facility, closer to his home area. However, when putting into consideration the degree and types of offences he was charged with, I will improve the security of the medium security correctional facility, closer to his home area so that he cannot escape from the prison. If I was a warden, I will have different search procedures for sentenced and awaiting trial detainees. This is because sentenced and awaiting trial detainees are governed by different laws and have different rights. However, both of them are not dangerous, but the chances of both of them to have weapons or other information are equally high (Siegel & Senna, 2009). In addition, I will use different search procedures for sentenced and awaiting trial detainees because the essence of searching each of them is different. For instance, a detainee awaiting trial is searched for evidence, and other harmful substances and weapons. On the other hand, a sentenced detainee is only searched for harmful substances and weapons. Thus, the two groups of detainees fall in different categories, which call for different search

Victors and Victims Essay Example for Free

Victors and Victims Essay â€Å"The Story of an Hour† is an English short story written by Kate Chopin. Chopin was widely recognized as one of the leading writers of her time and she is now considered by some to have forerunner of feminist authors of the 20th century. The second short story entitled â€Å"Clever Manka† which is written in Czechoslovakian language and translated in to English. Although it is anonymous, â€Å"Clever Manka† is a very important short story and the fact that it remains indicates that it has affected many people at different times. The both short stories have two completely different structures. The writer of â€Å"Clever Manka† used the expository method as the events starts from the very beginning, when the situation was stable and he introduces the characters, and then going up in the events. Opposite to â€Å"The story of an Hour†, it begins in the middle of the events. Then we have flash-back technique through which we know of all the events that happen before. Look more:  the story of an hour literary analysis essay â€Å"Clever Manka† and â€Å"The Story of an Hour† are alike in that they both have women as protagonist and they both involve a husband and a wife. They show how marriage could be the end of a women life or a beginning. Also, they show how women differently deal with life. The great difference is due to the different time and culture. â€Å"Clever Manka† which in Czechoslovakian culture proves women at that time were highly considered, appreciated, have rights. While, in â€Å"The Story of an Hour† shows how women were deprived, denied, devoiced, they weren’t offered a lot of opportunities such as men and they didn’t inherit money as all the money they get goes to either their husbands or any male member in the family. â€Å"The Story of an Hour† shows that marriage at that time was based on monetary comfort and social status. That leads to unhappy marriage and miserable life to the extent that a person might feel happy and free when his partner is  dead, as Mrs. Mallard felt when she heard that Mr. Mallard was dead. In â€Å"Clever Manka†, marriage is based on dual love and women’s desire is appreciated. We encounter two completely different women. The protagonist of â€Å"Clever Manka† her name is Manka and the protagonist of â€Å"The Story of an Hour† is Mrs. Mallard. They are different in many aspects even physically. The writer describes Mrs. Mallard as being afflicted with a heart trouble which shows that she is a sick and weak person, while Manka is young, clever and strong person. The title of Mrs. Mallard indicated that she was affiliated to her husband and she lost her identity. Her first name â€Å"Louise† is only mentioned after she heard of her husband’s death and when she felt free. Opposite to â€Å"Clever Manka† as Manka is called by her own name allover the story even after she was married. She is independent and wasn’t affiliated to either her father or her husband. Also, men characters in the two short stories are opposite. Men in â€Å"Clever Manka† are represented by the burgomaster who is very young and not-experienced and the farmer. They are incapable of facing any challenge as the burgomaster can’t solve the problem of the farmer and the shepherd, so he put them a riddle which the farmer can’t solve. On the other hand, in â€Å"The Story of an Hour†, we encounter Mr. Mallard who is completely opposite to the male characters in â€Å"Clever Manka† as he was very domineering character. He has always made decisions for Louise and lived her life for her. Men in both short stories tried to bend their wives’ will. In â€Å"Clever Manka†, the burgomaster started his life with Manka Trying to force limitations on her cleverness which indicates that he was afraid of her cleverness and afraid it will highlight his being not-experienced. As well as â€Å"The Story of an Hour†, it is obvious that Mr. Mallard was a domineering character and tried to bend louise’ will. Women’s response to their husband’s control and domination differs in the two short stories. In â€Å"Clever Manka†, when Manka interferes in the burgomaster’s business, it was out of inner feeling of shame and injustice because of her husband decision. She couldn’t stand helpless when she realized how inexperienced he was. This means that the precondition he put for her couldn’t bend her will. That shows that Manka didn’t surrender despite of the precondition that might destroy her life. In â€Å"The Story of an Hour†, Mrs. Mallard ability to resist the suppression practiced upon her was very little and short. She gave her husband the chance to have the upper hand in her life. The person is the one who decides whether he wants to live freely or not. If he wants to, he will not surrender to any person or under any condition. The pressure practicing on women would lead to one of two; either the woman will resist and become a victor, or easily surrender and become a victim.

Healthcare Architecture Origin and Development

Healthcare Architecture Origin and Development Chapter 1: Healthcare Architecture History that Time Forgot To trace back the history of healthcare and hospitals were unknown as there were many evidences of origination for earliest hospitals across different continent, and all historical healthcare serve under as religious influenced. Physicians back than consists of religious figure from gods and witch doctor to monks and priest. Around 430BC, temples in Athens were dedicated to healing gods, Asclepius for treating the sick spread throughout Greece. These holy temples were known as the very first hospitals in the history of western civilization. Dream interpretations was the process of healing where priests would interpret the dreams visited by the god, is also known as incubation. Priest would take a holistic approach to treatment which include, mud, herbal remedies, psychotherapy massage, bathing treatments, set dislocated bones and opium to calm agony of patient which were prescribed according to the dreams they experience. One of the oldest architecture evidence of a healthcare centre which dated back to the 9th century AD at Mihintale, Sri Lanka were Buddhist monasteries. There is evidence of patient ward which measured 4m x 4m. These evidence Medicinal trough roughly 7 feet long and 30 inches wide have been found by archaeologist. It was suggested that it was used with mineral water and medicinal oil for hydrotherapy. Healthcare influenced by social environment Roman Warfare Era Many of mankinds greatest discoveries have been made within the frame of warfare. The Roman Empire was built upon the success of its legions, and the foundation of that success lies in the innovations and discoveries of Roman medicine in the battlefield. In the first century AD, the Roman Empire was in constant warfare with neighbouring country but the Roman legions did not have any organized medical units. It was only when the Roman Empire expanded to Greece that many Greek physicians came to Italy and Rome, because it was only during warfare that physician are able to practice and flourish their medical skill by performing surgeries and treating wounded soldiers. He who desires to practice surgery must go to war. Hippocrates (c. 460-377 B.C.) a famous Greek physician During the first and second century AD, Emperor Trajan established the Roman Military Hospitals, or valetudinarium after recognizing the importance of medical treatment to reduce wounded and sick soldiers during long military campaigns. Trained Roman medical officer would travel together soldiers To the battlefield and set up temporary groups of small tents and fortresses. Over time, the Roman ethic of military improvement reform temporary Military Hospital into permanent facilities. Roman military hospitals were originally built near river for the access of clean water and adequate sewerage for sanitation purposes. Later in order to have an effective army, the military hospital was incorporated into part of Roman fort architecture and were put near the other wall, so that soldiers could get treated and be back into the battlefield. The architecture of a standard Roman Military Hospitals is similar to most healthcare centre today, rectangular in shape and consist of four corridors connected by an entrance hall. Each corridors consists of number of small ward with ante room and large ward that holds three bed off the end. Other spaces in the valetudinarium include a reception ward, staff quarters, kitchen, dispensary, large hall and medicine facilities. Religion Influence Era But unlike modern hospitals, these military hospitals were only reserve for sick and wounded Roman soldiers as Roman soldiers were usually treated with respect and honour in daily life. Unfortunately, the poor receive no sort of medical care which raises the issue social stigma. Even slaves and gladiator receive medical care. After 310 AD, the concept of healthcare available to only soldiers and the rich changes when the Romans adopted Christianity as religion, which promoted a caring and social community, revolutionizing morality and social behaviour. Christianity contributed an immense role in expanding healthcare provisions for the public. Many churches and monastery were built not only as place for spiritual worship, but to cater for travellers, the poor and the sick. St. Basil of Caesarea founded the first large-scale hospital in 369 AD. The hospital consists of 300 bed to care for victims of the plague. It was during the late 8th centuries in the Dark Ages, which Emperor Charlemagne that a hospital must be built attached each cathedral and monastery. Benedictine Abbey of Cluny was founded in 910 became a dominant factor in hospital work. To help them as would Christ was the principle founded by the monastic hospitals. Patients ward would be placed near the altar The Cluny order had an enormous influence on the culture and Romanesque architecture during the time. The monastery was form by cloister of buildings to form an open central space. The cross shaped plan in the abbey was where patient ward were place, where light and fresh is easily penetrate into the whole plan. Patients is able to gain spiritual healing in assisting with their recovery in front of the altar. Danger of bad design Healthcare Architecture Hotel-Dieu was the oldest hospital in Paris founded in the 7th century situated next to the Seine river and serve originally as a refuge for the homeless and sick. It was during the 17th century, Hotel-Dieu became hospices where the poor and sick is treated. With 1,200 beds in total and over 100 beds in some ward, Hotel-Dieu was the largest hospital ever built at the time. Although being the largest hospital, the hospital was designed poorly. Most of the wards in Hotel-Dieu does not have adequate ventilation, it was also maintained poorly and unsanitary. During plague epidemics, it was the only place that provided healthcare facilities for the sick. The hospital was faced with problem of overcrowding when it requires to house 3500 patients at the same time during the period, which the hospital was inadequately able to provide. Up to six patients were force to share a single hospital bed and infectious airborne diseases were able to spread easily across the hospital. Poor architecture design combined with uncontrollable spread of disease resulted in a high mortality rate of one death in four patients. In 1785 numerous discussion, design modifications and reformation to the Paris hospital system were made when a large part of the Hotel-Dieu was burned down by fire in 1772. Dr Jacques Tenon was appointed with drawing up proposals for improving the hospitals of Paris. He visited forty hospitals during his time in England to detailed spatial, sanitary and administrative elements of it. During his visit in Greenwich, it was when Jacques Tenon paid unusual attention on the functions and service arrangement. Documenting every architectural element detail from dining rooms, cabins bed, woollen mattress, feather pillow, the distance between the corridors, fire precautions, iron doors, alarm bells and many more. Jacques Tenons published the book Memoirs on the hospitals of Paris based on his records. Jacques Tenon and Bernard Poyet (architect) came up for the design for the new Hotel-Dieu in 1785 next to Notre Dame Cathedral after the approval of scheme by the Academy of Sciences. The hospital introduces a circular design with wards radiating from the centre point. The design was prioritized on improving the ventilation and hygiene of the building. Although the radial design for the new Hotel-Dieu receive complimentary for its effort. The death rate remained unchanged in the hospital due to most of the citys serious accidents were admitted to the new Hotel-Dieu. There are still several issues regarding to the design of it. Radial design provides insufficient space to cater for all patient; ventilation and sun light is unable to penetrate efficiently into most of the wards room. The Turning Point of Hospital The modernization of hospital design began to flourish during the age of enlightenments. In the mid-18th century, hospitals were introduced to the pavilion design. With the improvement of medical facilities and knowledge, isolation and containing airborne infections has been the main focus in reducing mortality rate. taking the quest for the separation of pathologies and the desire to prevent contagion effects to the extreme The first Pavilion type hospital in England was the Royal Herbert Hospital designed by Sir Douglas Galton which was recommended by Florence Nightingale in 1865. Sidney Herbert which was the leader of War Office wishes to reduce military mortality rate of British veterans of the Crimean War. The main intention of the pavilion design was to improved sanitation, cleanliness and fire prevention. Semi- detached building separates the hospital into isolated complex. Each complex contains ward connected by a central corridor to all other parts of the hospital. All wards are raised from the ground to maximise cross ventilation (fresh air) and natural lighting (daylight penetration). The central complex is where the administration and services located. The pavilion plan spatial layout is an excellence respond to the lack natural ventilation and separation of contagious diseases. During an epidemic outbreak in the hospital, it is able to quickly shut down the infected block, isolating it from the rest of the building. The rectangular form of the Royal Herbert Hospital provides better efficiency in plate ratio maximizing number of wards in the hospital. The sharp decline in hospital mortality rates and rise in public health make the pavilion principle a trend for modern hospital design. Political Influence Healthcare Buildings In 1938 the Finsbury Health centre designed by Berthold Lubetkin was opened with his allegation that nothing was too good for ordinary people. The development of the NHS was an essential crossroads in British Social History, and the Finsbury Health Centre was that monument of a socialist idealism. Finsbury was once a thickly stuffed ghetto relieved by green space and filled with epidemic disease. Given the circumstances, local politicians were determined to redeveloped Finsbury into a model of social progress. Things had to be improved, housing, education, hygiene and health. The principle of Finsbury Health Centre was to make healthcare available for free at a single point of delivery and the spatial arrangement of the healthcare building was designed to accommodating many different kinds of medical treatment, as opposed to being scattered all through the borough. After six decades of National Health Service, many of Finsbury principle has been adopted which led to the belief of Ber thold Lubetkin that the building serves as an instrument of social improvement. The form of the Healthcare centre is design in a letter H with public spaces located in the ground floor plan. Core public spaces such as the reception, lecture theatre and services are located in the centre section of the building with ramped services provided from the garden entrance. Both wings on the side of the building are flexibly planned clinical accommodation with different healthcare spaces. The floor plates of the building is extended from ground floor to first floor. Emergency patients can access independently to the basement floor from the rear service courtyard. The building is built from reinforced concrete frame with glass block and curtain wall infill, tiled wall surrounds and asphalt roof. Built Environment Human Health The built environment influences health. As a species, humans need structures for physical shelter, as manifestation of social and cultural values, and as embodiments of spiritual and emotional needs. As population growth accelerates, the production of the built environment becomes more resource intensive, stressing indigenous building materials and methodologies beyond their sustainable capacities. Resource depletion, in turn, negatively impacts human health. Clinical medicine and public health do not always define health as the mere absence of disease. As stated by the World Health Organization (WHO) that a person health is define in the state of physical, mental, and social well-being. Architecture and planning can promote this broader conception of human health and well-being. In the nineteenth century, infectious diseases such as smallpox, tuberculosis, typhoid, pneumonia, and rubella were responsible for the majority of deaths. To a large degree, these could be, and eventually were, controlled through environmental and clinical public health interventions. Many of these health improvements were achieve through urban planning and zoning mechanisms, reflecting a close partnership among urban planning, public health, and allopathic medicine. Moving into the twenty-first century, a long-term chronic illness such as cancer, heart disease, and strokes began claiming the most lives. In the last twenty years, chronic respiratory afflictions such as asthma and sick building syndrome have emerged as widespread threats to public health. While we have created a large allopathic medical structure to deal with these issues, growing evidence indicates that a renewed partnership among urban planning, architecture, public health, and medicine will be necessary to prevent these illnesses before they occur. Case Study Gaviotas Hospital If humanity is to survive, we must move out of the cities, and learn to live sustainably in areas where people have not tried to survive before. Paolo Lugari Introduction Colombia as a country surrounded by strife and harsh condition like violence, drug trafficking, sickness, gun wars and poverty exists a functioning utopia of sustainability and peace. Gaviotas, a village founded in 1971 in the remote savannas of eastern Colombia, Llanos region by Professor Paolo Lugari, is a self-sufficient community of about two hundred. The sixteen-bed, 7,266- square foot solar powered hospital was designed and built by community members between 1982 and 1986. Gaviotas Hospital, elegant in its pragmatic functionality manifests a humanistic core value that identify as an oasis of imagination and sustainability Utopia to Reality Gaviotas Hospital started out as an experiment by a group of local engineer, scholars and scientist in attempt to transform an empty and remote plot of land with no arable soil into a rich and self-sustaining productive community. One of the most remarkable process of developing Gaviotas was regenerate the soil (which had a high acidity in the soil, pH4) into growable condition for trees. Scientist found a solution by using Caribbean pine trees, which have a symbiotic relationship with mycorrhizal fungus that helps to keep them alive in acidic conditions. The pine tree help provide shade, reducing the ultraviolet rays penetrating the earth and with the increment of rain fall. All these combinations help created a fertile soil with a pH value of around 6.8. The community is now able to grow different rages of agricultural food. Key Disease Treatment Eighty percent of diseases in Colombia are water-related disease which include Hepatitis A, Hepatitis E, Typhoid Fever. All these disease causes the victims to exhibit signs of fever, jaundice, diarrhea, abdominal pain and sometimes death if left untreated. Considering all these diseases, the main causes of suffering for the local population is gastrointestinal disorders disease, which affect seventy- five percent of the population attributable to unclean drinking water. Lugari shifted his attention from curative to preventative medicine by supplying clean water straight from Gaviotas. The hospitals provision of purified water by using simple solar energy distillation technology to immediately reduced sickness and deaths previously plaguing the villages. Sustainable and Built Environment When a new building is found to show signs of water leakage into the new building, it is immediately seen as a design and construction fault by the architect or contractor and they are force to absorb the cost of repair. On the contrary, if there is excess heat in the building causing thermal discomfort to the user, the user will automatically assume its the weather and complain about it without further investigating on the design. Resulting in installing air conditioning systems for their house. Bioclimatic error is neglected in the end. The Gaviotas Hospital feed solely on clean energy by taking advantage of nature. Functioning as an off-the-grid structure, the hospital relies on solar, wind power, mini-hydraulics and biomass for the buildings modest energy demands, the hospital is able operate without consuming drops of oil or fossil fuel. All this was made possible by integrating passive design strategies for cooling. A series of underground ducts enabled the buildings interior to maintain cool temperatures by creating a convective loop: cooled underground air entered the building, and warmer air escaped through honeycombed shaped air channels in the double layered corrugated roof. Despite frequent 100 percent humidity, a passive dehumidification system inspired by the workings of a termite mound contributed to comfortable indoor conditions. The surgical room maintained 17 percent humidity year-round the lush landscape was replete with organic produce and medicinal herbs. People were kept connected to the outdoors through operable skylights, daylit spaces, and a retractable galvanized metal roof over patient areas which provide view at the night. Looking into Bioclimatic Technologies Underground Ventilation Duct- During the day of dry season, temperature is range between 17ÂÂ °C to 35ÂÂ °C. Ventilated air is circulated through 5 large underground thermal stabilizing ducts by wind and wind extractors at a constant temperature of 25ÂÂ °C. Heat is distributed through the duct within the garden, maintaining the temperature of the soil several degrees below average thermal weight of the region. Double Coolant Cover- The ceiling of the hospital consists of a double coolant layer which allows circulation of air. The upper layer absorbs heat and induces the circulation; the lower layer stays cool, avoiding infrared radiation from the upper layer. Sliding Roofs- The rooms in the hospitalization area have manual operating sliding roofs. These sliding roofs is operated by bicycle mechanism which allows to withdraw 60% of its cover during both the day and night. Utilizing the sliding roofs helps sterilize the room using radiation and also control exposure of sun to the patient. Wind Turbine References http://reps.chelseagreen.com/files/pdf/gaviotas_pr_LowRes.pdf Gaviotas: A Village to Reinvent the World, 2nd Edition http://www.nationalpost.com/sense+sustainability+utopia+made+real+colombia/1302554/story.html Nature and Healing Emotional, physiological, social and cognitive benefits are generated in contact with nature as demonstrated by researches in an assortment of fields over the course of recent years. All the benefits which include improvement of emotional functioning, attention capacity and feelings of self-worth, reduces mental and physical stress that effects people on the individual level. Social benefits are also evident from studies of recreational activities and gardening. Being in a natural setting strengthens group ties and promotes prosocial behaviours. However, the understanding of nature healing is not all equally beneficial. Tall large trees, water features and a variety of shrubs and flowers serves better healing purposes than spaces with only grass. Humans evolved in the a natural rather than artificial or human-constructed world. Biophilia developed as a genetic tendency because of our species long dependence on functionally adapting to the natural environment. Given the evidence of the health and well-being benefits that accrue from contact with nature, it is somewhat surprising that healthcare institutions have slowly incorporating nature into building and site design. Gardens, sunlight, and landscape views have positive effects on both patient and financial outcomes. To enhance connection to nature, healthcare buildings have incorporate more views of nature and sunlight in healthcare setting. Sunlight in patient rooms is also associated with a reduction in pain, stress, and depression and gives out positive moods. Case study Paimio Sanatorium The sanatorium is an establishment for the medical treatment of people who are convalescing or have a chronic illness. The Paimio sanatorium is a former tuberculosis sanatorium in Paimio, Southwest Finland, designed by a Finnish architect Alvar Aalto. Prior completion in 1932, the building served exclusively as a tuberculosis sanatorium till 1960s, and then converted into a general hospital. The building was soon nominated to become a UNESCO World Heritage Site due to its importance. Alvar Aaltos starting point for the design of the sanatorium was to make the building itself a benefactor to the healing process, which he referred the building as a medical instrument. Alvar Aalto utilized what was naturally available which was sunlight due to lack of medical advancement. Sunlight balconies was design on each floor of the building to improve lives of the tuberculosis patients in Paimio Sanatorium. Weak patients were able to pulled out of their bed to rest in an environment to be exposed to sunshine and clean air. Furthermore, the sun balconies are also a platform for patient to take pleasure in the generous views to the woodlands surrounding the place. Effectively incorporating these biophilic design elements in constructed buildings and landscapes to varying degrees and in various combinations can enhance human health and well-being. Biophilic design elements can guide healthcare designers and hospital developers in addressing the inherent human affinity for nature. Purified Air, Clean Air? Good Air, good Health There have been many developments in the science and practical application of improved indoor air quality. Most recently, these developments have been in the area of source control for which the industry has developed effective guidelines and best practices. Efforts began in the 1980s with the indoor air quality guidelines of the World Health Organisation (WHO). Using these guidelines appropriately, we can inform building owners and operators about the quality of the air in their facilities. Indoor air samples taken in a building pre- and post occupancy and during its functional life as part of an ongoing commissioning program, can be analysed for chemical concentrations. The goal is to design, construct, and operate healthcare facilities so that the indoor concentrations of chemicals of concern (carcinogens, reproductive toxicants, and chemicals with chronic or long-term health effects) are low enough to minimize their harmful effects and not impact the occupant health negatively. Four Design Principles for Healthy Indoor Air Quality Source control: minimize the indoor chemical concentrations by reducing or eliminating pollutant sources. For healthcare facilities, this involves two separate strategies: The building: Select and install building materials and finishes that minimize or eliminate indoor pollutant sources The buildings contents: substitute low-emitting furnishings, medical products, materials, and cleaning agents for the previously used, more toxic materials. Examples of this are the use of PVC-free furniture and window shades and the use of nonlatex gloves. Ventilation control: Provide adequate ventilation to dissipate and purge indoor air pollutants. Building and IAQ commissioning: This is a process used during design and construction to verify that a building is constructed as designed and operates as intended. Recommissioning should occur regularly to ensure that the building continues to perform as intended. Operations and maintenance: Perform regular inspection, maintenance, and cleaning of the building and its contents. Case Study University of California-San Francisco Osher Center for Integrative Medicine Numerous building products, including floor materials, wall panels and ceiling tiles in the Osher Centre for Intergrative Medicine have been reformulated chemically of building material to reduce chemical emissions based on these specifications. Many institution trade groups have begun developing or have already developed the same level of compliance certification. Breathing Easier Over the last twenty-five years, much attention has been paid to improving indoor air quality as a result of the practical application of scientific research with a new consciousness about occupant health, architects and engineers are producing new building designs, system, and specifications. The manufacturing industry is responding with both reformulated and brand new green products. Giving material specifiers more confidence in selecting healthy materials, and construction industry is responding by incorporating green construction methods. Scientific test proves and qualitative feedback from occupants of these enhanced IAQ buildings confirms that improved indoor air quality improves every breath staff, visitors, and especially patients take and how they feel. A larger healthcare infrastructure will mean more energy, more materials, more development. Without the transformation of the building sector in healthcare, continued system expansion will increase the ecological resource burdens within communities. The transformation of the materials marketplace in the service of indoor air quality will be challenging. Without the limitation from organisation limiting on the budget and purchasing power of healthcare industry, greener cleaning products, and improved indoor air quality can have a major impact on moving toward cleaner building.